Maegen Calhoun McCabe, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3782-15 Issued in MS

Practice address

15236 Dedeaux Rd
Gulfport, MS 39503-3161

Phone

(228) 832-3111

Fax

(228) 832-3117

NPI assigned

Jul 2, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Maegen C Calhoun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gulf Coast Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Gulfport, MS
  • NPI 1194004994
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1710327960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15236 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033161",
            "telephone_number": "601-385-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15236 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033161",
            "telephone_number": "228-832-3111",
            "fax_number": "228-832-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "MAEGEN",
        "middle_name": "CALHOUN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DRP1170",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "D6252",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "3782-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03458379",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAEGEN",
            "last_name": "CALHOUN",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jana Lynn Mayo, LCSW
• Madison McAdams, PCAT
• Isabella McArdle
• Dominique McArthur, OTD
• Trijah McBeath, PCMHT
• Matthew Christopher McCabe, DDS
• Mike C McCabe, D.D.S.
• Timothy E McCabe, D.D.S.
• Denise Morgan McCaffrey, LCSW
• Linda McCauley

• Pediatric Dentistry in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Pediatric Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.